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What the Young Physician Should Know About May-Thurner Syndrome.

Donatella N, Marcello BU, Gaetano V, Massimo P, Massimo M, Giancarlo B - Transl Med UniSa (2014)

Bottom Line: Mainly, clinical symptoms and signs include, but are not limited to, pain, swelling, venous stasis ulcers, skin pigmentation changes and post-thrombotic syndrome.Correct treatment is not well established and is based on clinical presentation.The aim of this review is to present in a simple and didactic form all variable clinical presentations of MTS and to outline possible management within the current guidelines.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology D.I.B.I.M.E.F., "P. Giaccone" University Hospital, Palermo, Italy.

ABSTRACT
May-Thurner syndrome (MTS) is an anatomically variable condition resulting in compression of the left common iliac vein between the right common iliac artery and the underlying spine with subsequent development of a left deep vein thrombosis (DVT). Although this syndrome is rare, its true prevalence is likely underestimated. Mainly, clinical symptoms and signs include, but are not limited to, pain, swelling, venous stasis ulcers, skin pigmentation changes and post-thrombotic syndrome. Correct treatment is not well established and is based on clinical presentation. Staged thrombolysis with/without prophylactic retrievable inferior vena cava filter placement followed by angioplasty/stenting of the left iliac vein appears to be the best option in MTS patients with extensive DVT. The aim of this review is to present in a simple and didactic form all variable clinical presentations of MTS and to outline possible management within the current guidelines.

No MeSH data available.


Related in: MedlinePlus

drawing showing endovascular treatment with self-expanding stent placement in left common iliac vein
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f6-tm-12-19: drawing showing endovascular treatment with self-expanding stent placement in left common iliac vein

Mentions: Endovascular management should be the first-line treatment for MTS as demonstrated by retrospective and prospective studies [34,45,46,15,47]. Endovascular management typically begins with venography to confirm MTS and demonstrate the degree of LCIV stenosis followed by a percutaneous transluminal angioplasty (PTA) to expand the intraluminal space and finally the implantation of a self-expanding stent (Fig. 6).


What the Young Physician Should Know About May-Thurner Syndrome.

Donatella N, Marcello BU, Gaetano V, Massimo P, Massimo M, Giancarlo B - Transl Med UniSa (2014)

drawing showing endovascular treatment with self-expanding stent placement in left common iliac vein
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4592040&req=5

f6-tm-12-19: drawing showing endovascular treatment with self-expanding stent placement in left common iliac vein
Mentions: Endovascular management should be the first-line treatment for MTS as demonstrated by retrospective and prospective studies [34,45,46,15,47]. Endovascular management typically begins with venography to confirm MTS and demonstrate the degree of LCIV stenosis followed by a percutaneous transluminal angioplasty (PTA) to expand the intraluminal space and finally the implantation of a self-expanding stent (Fig. 6).

Bottom Line: Mainly, clinical symptoms and signs include, but are not limited to, pain, swelling, venous stasis ulcers, skin pigmentation changes and post-thrombotic syndrome.Correct treatment is not well established and is based on clinical presentation.The aim of this review is to present in a simple and didactic form all variable clinical presentations of MTS and to outline possible management within the current guidelines.

View Article: PubMed Central - PubMed

Affiliation: Department of Radiology D.I.B.I.M.E.F., "P. Giaccone" University Hospital, Palermo, Italy.

ABSTRACT
May-Thurner syndrome (MTS) is an anatomically variable condition resulting in compression of the left common iliac vein between the right common iliac artery and the underlying spine with subsequent development of a left deep vein thrombosis (DVT). Although this syndrome is rare, its true prevalence is likely underestimated. Mainly, clinical symptoms and signs include, but are not limited to, pain, swelling, venous stasis ulcers, skin pigmentation changes and post-thrombotic syndrome. Correct treatment is not well established and is based on clinical presentation. Staged thrombolysis with/without prophylactic retrievable inferior vena cava filter placement followed by angioplasty/stenting of the left iliac vein appears to be the best option in MTS patients with extensive DVT. The aim of this review is to present in a simple and didactic form all variable clinical presentations of MTS and to outline possible management within the current guidelines.

No MeSH data available.


Related in: MedlinePlus